Most Relevant Information
Provider Data
| NPI Number: | 1003018284 |
| Provider Name: | JOHNNY LEE WAKEFIELD D.C. |
| Entity Type: | Individual |
| Taxonomy Code: | 111N00000X |
| Specialty: | Chiropractor |
| License Number: | 6399 |
Most Important Dates
| Enumeration Date: | 06/01/2007 |
| Last Updated: | 07/08/2007 |
Provider Practice Location
26603 I-45 NORTH
SPRING
TX
77380
Practice Location Phone/Fax
| Phone: | 2813676900 |
| Fax: |
Provider Mailing Location
26603 I-45 NORTH
SPRING
TX
77380
Provider Mailing Phone/Fax
| Phone: | 2813676900 |
| Fax: |